| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.82 | $30.86 | $47.10 | |
Anthem BCBS
| Facility | $126.51 | $126.51 | $126.51 | |
Anthem BCBS
| Professional | $70.04 | $71.72 | $71.72 | |
Cigna
| Professional | $25.82 | $25.82 | $25.82 | |
Harvard Pilgrim
| Professional | $43.86 | $43.86 | $43.86 | |
Martin's Point
| Professional | $25.82 | $30.86 | $47.10 | |
United
| Professional | $17.89 | $26.83 | $61.71 |